11D2280258 CLIA NUMBER - GEORGIA EMS AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 11D2280258
  • Facility Name: GEORGIA EMS AMBULANCE SERVICE
  • Facility Address: 2670 COBB PARKWAY
    KENNESAW, GA
    ZIP 30152
  • Facility Phone: 770 514-8070
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: RONALD KADNER
  • NPI Number: 1154441012
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2280258
LAB Type Ambulance
Facility Name GEORGIA EMS AMBULANCE SERVICE
Street 2670 COBB PARKWAY
City KENNESAW
State GA
ZIP 30152
Phone 770 514-8070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Ambulance
Lab Director RONALD KADNER

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This page was last updated on: 9/29/2025